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Workshop:ASTRO E-contouring for CNS webinarFaculty:Dr. Elham Rahimy, MDCase Description:64yo M, KPS 60, GBM (IDH WT) of the left temporal lobe with asymptomatic transient leptomeningeal (LM) enhancement, MGMT negative. • Presented with symptomatic hydrocephalus (acute AMS, vomiting), found to have hemorrhagic tumor and leptomeningeal enhancement of the posterior fossa and upper C-spine.• Underwent VP shunt with improvement of hydrocephalus symptoms, and biopsy alone of the tumor. • LM enhancement resolved on interim MRI 5 weeks later (LM enhancement felt to be secondary to tumor hemorrhage). • After multidisciplinary evaluation and discussion, planned for hypofractionated radiotherapy with concurrent/adjuvant temodar.• Images fused: Initial MRI (T1+C and T2; MR secondary 1 and 2) showing the extensive LM enhancement in the posterior fossa, and ~5 week follow up MRI day before simulation with resolution of LM enhancement (T1+C and T2; MR secondary 3 and 4). He was claustrophobic with some motion degradation on scans despite Ativan. Homework:• GTV on Slices 58, 59, 60, 61• CTV on Slices 58, 59, 60, 61• PTV on Slices 58, 59, 60, 61• BrainStem on Slices 58, 59, 60, 61• OpticChiasm on Slices 58, 59, 60, 61• Cochlea_L on Slices 73, 74, 75Disabled Contours: All contours disabledEnabled Contours: NoneResource Files: - Vignette- EduCase Training Video: How to contour, complete the homework, and save/submit - EduCase User Guide
Workshop:ASTRO eContouring virtual sessions for the Annual Refresher Course, April 17–19Faculty:Jona Hattangadi-Gluth, MD - Radiation OncologyContour Homework:GTV on Slices 65, 80, 85 (Contour on any or all of the following: GTV T1+c, GTV T2F, GTV comb - No blue HW icons)CTV on Slices 65, 80, 85OpticChiasm on Slices 112, 114Disabled Contours: All contours disabledEnabled Contours: NoneResource Files: - JHG CNS Vignette Annual Refresher 2024.pdf- EduCase Training Video: How to contour, complete the homework, and save/submit - EduCase User Guide
Workshop:ASTRO eContouring virtual sessions for the Annual Refresher Course, April 17–19Faculty:Jona Hattangadi-Gluth, MD - Radiation OncologyContour Homework:GTV on Slices 138, 143, 149CTV on Slices 138, 143, 149BrainStem on Slices 138, 143, 149Disabled Contours: All contours disabledEnabled Contours: NoneResource Files: - JHG CNS Vignette Annual Refresher 2024.pdf- EduCase Training Video: How to contour, complete the homework, and save/submit - EduCase User Guide
Workshop:ASTRO eContouring virtual sessions for the Annual Refresher Course, April 17–19Faculty:Jona Hattangadi-Gluth, MD - Radiation OncologyContour Homework:None; this is a teaching case I will show the students in my lecture only. No contouring is required.Disabled Contours: EnabledEnabled Contours: NoneResource Files: - JHG CNS Vignette Annual Refresher 2024.pdf- EduCase Training Video: How to contour, complete the homework, and save/submit - EduCase User Guide
The 2020 ASTRO Annual Meeting will be held October 25-28 as an immersive and interactive virtual meetingContour Homework:GTV_Node_BC on Slices 78, 90 CTV_HR_BC on Slices 78, 90 CTV_IR_BC on Slices 55, 66, 78, 88 CTV_SR_BC on Slices 55, 66, 78, 90Disabled Contours: AllEnabled Reference Contours: NoneResource Files:2020 eContouring for Head and Neck Cancer Squamous cell carcinoma of unknown primary of the head and neck (Tx N2 M0) Bhisham Chera2020 eContouring for Head and Neck Cancer Unresectable Squamous Cell Carcinoma of the Maxillary Sinus (T4 N0 M0) Bhisham Chera EduCase Contouring Homework Video TutorialData and material from, or that you provide in connection with, this class may be used in an aggregate form without limitation by ASTRO or, as specified by ASTRO, by its designees/licensees. By providing such data or material, including drawings, and by participating in this class, you consent to this use.
The 2020 ASTRO Annual Meeting will be held October 25-28 as an immersive and interactive virtual meetingContour Homework:Primary GTV_BC on Slices 49, 50, 51, 52CTV_HR_BC on Slices 49, 50, 51, 52CTV_SR_BC on Slices 49, 50, 51, 52, 80Disabled Contours: AllEnabled Reference Contours: NoneResource Files:2020 eContouring for Head and Neck Cancer Squamous cell carcinoma of unknown primary of the head and neck (Tx N2 M0) Bhisham Chera2020 eContouring for Head and Neck Cancer Unresectable Squamous Cell Carcinoma of the Maxillary Sinus (T4 N0 M0) Bhisham Chera EduCase Contouring Homework Video TutorialData and material from, or that you provide in connection with, this class may be used in an aggregate form without limitation by ASTRO or, as specified by ASTRO, by its designees/licensees. By providing such data or material, including drawings, and by participating in this class, you consent to this use.
The ASTRO Head and Neck Webinar will be held November18, 2020Contour Homework:GTV_Node_BC on Slices 78, 90 CTV_HR_BC on Slices 78, 90 CTV_IR_BC on Slices 55, 66, 78, 88 CTV_SR_BC on Slices 55, 66, 78, 90Disabled Contours: AllEnabled Reference Contours: NoneResource Files:2020 eContouring for Head and Neck Cancer Squamous cell carcinoma of unknown primary of the head and neck (Tx N2 M0) Bhisham Chera2020 eContouring for Head and Neck Cancer Unresectable Squamous Cell Carcinoma of the Maxillary Sinus (T4 N0 M0) Bhisham Chera EduCase Contouring Homework Video TutorialData and material from, or that you provide in connection with, this class may be used in an aggregate form without limitation by ASTRO or, as specified by ASTRO, by its designees/licensees. By providing such data or material, including drawings, and by participating in this class, you consent to this use.
The ASTRO Head and Neck Webinar will be held November18, 2020Contour Homework:Primary GTV_BC on Slices 49, 50, 51, 52CTV_HR_BC on Slices 49, 50, 51, 52CTV_SR_BC on Slices 49, 50, 51, 52, 80Disabled Contours: AllEnabled Reference Contours: NoneResource Files:2020 eContouring for Head and Neck Cancer Squamous cell carcinoma of unknown primary of the head and neck (Tx N2 M0) Bhisham Chera2020 eContouring for Head and Neck Cancer Unresectable Squamous Cell Carcinoma of the Maxillary Sinus (T4 N0 M0) Bhisham Chera EduCase Contouring Homework Video TutorialData and material from, or that you provide in connection with, this class may be used in an aggregate form without limitation by ASTRO or, as specified by ASTRO, by its designees/licensees. By providing such data or material, including drawings, and by participating in this class, you consent to this use.
Sunday, September 24, 2017, 4:45 p.m. - 6:15 p.m. eContouring for Head and Neck Course II: Matthew Stenmark, MD, Sue Yom, MD, Suresh Mukherji, MD, MBA, FACRHomework:The CTV for the postoperative bed (CTV_61) has been defined for you based on clinical examination and discussion with the Moh’s surgeon. The axial MR has been fused. Unfortunately, the e-contouring software does not allow for the coronal MR data set to be registered, so representative slices can be found below.Assuming a 33 fraction treatment regimen, please use the treatment planning CT to define:Define additional clinical target volumes, including the supra-orbital nerve foramen where gross disease was left behind as well as additional at risk regions based on the above MRI. Select your CTVs from the following dose levels. You may use as many or as few as you see appropriate.CTV_69.96 Gy (2.12 Gy/fx)CTV_66 Gy (2.0 Gy/fx)CTV_61 Gy (1.85 Gy/fx)CTV_59.4 Gy (1.8 Gy/fx)CTV_56.1 Gy (1.7 Gy/fx)Organs at riskContour as many or as few as you see appropriate on slices: 38, 39, 40, 42, 44, 46, 48, 50, 52, 54, 56, 58, 62, 66(homework not engaged in UI)Enabled Reference Contours: CTV_61 (postop bed, minus supraorbital nerve foramen)Disabled Contours: All Except for GTVsResource Files:Cutaneous squamous cell carcinoma VignetteCutaneous MR Coronal ImagesEduCase User Guide
